| NPI | 1528015492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GOTTLIEB Managing Employee 718-780-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |